全球智库信息集成服务系统

Key Findings

1. The state could cover all residents under a Single Payer option with little change in overall health care costs, but doing so would require cuts to provider payment rates that could worsen access to care, and implementation hurdles may be insurmountable.
2. A state-managed plan (the Health Care Ingenuity Plan) featuring competition among private plans would also achieve universal coverage and would sever the employer–health insurance link, but the provider payment rates would likely be set too high, so health care costs would increase.
3. Adding a state-run option to the Affordable Care Act Marketplace (the Public Option) would be the easiest of the three options to implement, but because it would not affect many people, it would be an incremental improvement to the Status Quo.
4. Policymakers will need to weigh these options against their desire for change to balance the benefits with the trade-offs.

When it comes to health care, Oregon always seems to be thinking ahead. Federal health reform under the Affordable Care Act (ACA) had just been getting started in 2013 when Oregon's legislature authorized a study of three new options that could further reform how the state pays for health care.